Free Notice (Other) - District Court of Federal Claims - federal

Case 1:01-cv-00517-MBH

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IN THE UNITED STATES COURT OF FEDERAL CLAIMS

GHS HEALTH MAINTENANCE ORGANIZATION, INC. d/b/a BlueLincs HMO, Plaintiff, TEXAS HEALTH CHOICE, L.C., Plaintiff, SCOTT & WHITE HEALTH PLAN Plaintiff, v. THE UNITED STATES, Defendant.

) ) ) ) ) No. 01-517C, 05-371C, 05-963C ) (Judge Horn) ) ) ) ) ) ) ) ) ) ) ) )

DEFENDANT'S MOTION TO FILE SUPPLEMENTAL APPENDIX MATERIALS Defendant respectfully requests that this Court permit defendant to file supplemental materials in the appendix in this case. Counsel for plaintiffs Scott and White, Texas Health Choice, and GHS Bluelincs consent to this motion. We propose to submit two documents: 1. FEHBP Letter, No. 97-8, Community-Rated Carriers, United States Office of Personnel Management, Office of Insurance Programs, March 7, 1997 2. FEHBP Letter, No. 97-10, Community-Rated Carriers, United States Office of Personnel Management, Office of Insurance Programs, April 2, 1997. These materials are guidelines and instructions that the Office of Personnel Management (OPM) forwarded to community rated carriers who participated in the Federal 1

Case 1:01-cv-00517-MBH

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Employees Health Benefits Act (FEHBA), 5 U.S.C. §8901 et seq, for the years 1997 and 1998. They are representative of OPM's guidelines for these matters. OPM relied upon these materials when performing a rate reconciliation. Because there are significant differences between a rate reconciliation, and nonreconciliation of rates when a provider chooses to exit the FEHBA Program, these materials will assist the court in understanding the complexities of the community rated programs and rate reconciliation. The documents are be labeled PDF GHS Health. The pagination starts from the last page of the appendix filed for GHE Bluelincs and starts at Appendix page 532. Conclusion Accordingly, defendant respectfully requests that this Court permit defendant to file supplemental materials in the appendix as described above. Respectfully submitted, PETER D. KEISLER Assistant Attorney General /s/ David M. Cohen DAVID M. COHEN Director

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SUSAN WHITMAN, Esq. JILL GERSTENFIELD, Esq. U.S. Office of Personnel Management Washington D.C.

/s/ Jane W. Vanneman JANE W. VANNEMAN Senior Trial Counsel Commercial Litigation Branch Civil Division Department of Justice 1100 L St., NW Attn: Classification Unit 8th Floor Washington, D.C. 20530 Phone: (202) 307-1011 Fax: (202) 514-8624

February 17, 2006

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CERTIFICATE OF SERVICE I hereby certify that on this 17th day of February, 2006, a copy of the foregoing "DEFENDANT'S MOTION TO FILE SUPPLEMENTAL APPENDIX MATERIALS" and "SUPPLEMENTAL APPENDIX" was filed electronically. I understand that notice of this filing will be sent to all parties by operation of the Court's electronic filing system. Parties may access this filing through the Court's system.

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Case 1:01-cv-00517-MBH

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SUPPLEMENTAL APPENDIX

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FEHBP Letter, No. 97-8, Community-Rated Carriers, United States Office of Personnel Management, Office of Insurance Programs, March 7, 1997..................................................................................................................537 FEHBP Letter, No. 97-10, Community-Rated Carriers, United States Office of Personnel Management, Office of Insurance Programs, April 2, 1997................................................................................................................... 595

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